CHARLES HAVILAND MIZE (Credential# 1173692) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHARLES HAVILAND MIZE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0055368. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 16103 Hunter's Pond Trail, Centreville, VA 20120. The current status is active.
| Licensee Name | CHARLES HAVILAND MIZE |
| Credential ID | 1173692 |
| Credential Number | CSP.0055368 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
16103 Hunter's Pond Trail Centreville VA 20120 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-07-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1156929 | 1.051945 | Physician/Surgeon | 2013-05-23 | 2019-12-01 - 2020-11-30 | ACTIVE |
| 1251114 | CSP.0058910 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-10-22 | 2014-10-22 - 2015-02-28 | INACTIVE |
| Street Address | 16103 Hunter's Pond Trail |
| City | Centreville |
| State | VA |
| Zip Code | 20120 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yuzi Cai | 5412 Pachysandra In, Centreville, VA 20120 | Massage Therapist | 2020-08-01 ~ 2022-07-31 |
| Cary A Skahn | 6510 Trillium Hse Ln, Centreville, VA 20120 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Maliha Misbah Makhdoom | 5865 Trinity Parkway, Centreville, VA 20120 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Adriana Caruso | 14634 Stone Range Drive, Centreville, VA 20120 | Emergency Medical Technician | 2019-01-01 ~ 2021-12-31 |
| Daniel E Pless | 14829 Cranoke St., Centreville, VA 20120 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Patrick C Brooks | 5875 Trinity Parkway, Centreville, VA 20120 | Professional Engineer | 2015-02-01 ~ 2016-01-31 |
| Kenneth T Sachs | 15433 Martins Hundred Dr, Centreville, VA 20120 | Real Estate Broker | 2014-04-01 ~ 2015-03-31 |
| Ruthanne K Berger | 13501 Portage Pl, Centreville, VA 20120 | Registered Nurse | 2001-01-19 ~ 2010-03-31 |
| Timothy A Carl | 14715 Muddy Creek Ct, Centreville, VA 20120 | Architect | 1999-08-01 ~ 2000-07-31 |
| Nga Hong Le | 13603 Fernbrook Court, Centreville, VA 20120 | Hairdresser/cosmetician | 2004-06-15 ~ 2006-06-30 |
| Find all Licenses in zip 20120 | |||
| City | Centreville |
| Zip Code | 20120 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Centreville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carolyn Mize | 927 Alan Dr, Wantagh, NY 11793-1041 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Janine C Davis | 32 Haviland St, Norwalk, CT 06854 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Morton E Salomon | 125 Haviland Rd, Stamford, CT 06903 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Sarah K Cryer | 60 W Haviland Ln, Stamford, CT 06903-3336 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alan R Marcus | 269 Haviland Rd, Stamford, CT 06903 | Controlled Substance Registration for Practitioner | 1993-12-20 ~ 1996-01-01 |
| David Jason Folman | 16 Haviland St Apt B, Norwalk, CT 06854-3095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Charles R Watson Md | Sunrise, FL 33323 | Controlled Substance Registration for Practitioner | 2009-03-05 ~ 2011-02-28 |
| Charles E Ray Dds | 46 Charcoal Ave, Middlebury, CT 06762 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Charles J Rehkamp | P O Box 488, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 1995-03-23 ~ 1996-02-28 |
| Charles M Zatzkin | 391 E Putnam Ave, Cos Cob, CT 06807 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CHARLES HAVILAND MIZE.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).